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Licensing details for: 3227

Name: BUZZELL, JORDAN NATHANIEL

License Type: Oral Conscious Sedation

Primary Status: Cancelled

Specialty: Minor

Address of Record

110 TOWN CENTER PARKWAY
Suite A
SANTEE CA 92071
SAN DIEGO county
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Issuance Date

August 19, 2014

Expiration Date

December 31, 2023

Current Date / Time

December 14, 2025
2:43:11 AM

License Relationships

OCS to DDS, OMS, or SP

License/Registration Role: Oral Conscious Sedation Certificate

Related Party Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit

Name: BUZZELL, JORDAN NATHANIEL

License/Registration Type: Dentist License

License Number: 57219 Primary Status: Current - Active

Address :
110 TOWN CENTER PARKWAY
Suite A
SANTEE CA 92071
SAN DIEGO COUNTY

Map

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